1053488528 NPI number — DR. ALEJANDRA GABRIELA COSTANTINO FINIASZ DDS

Table of content: DR. ALEJANDRA GABRIELA COSTANTINO FINIASZ DDS (NPI 1053488528)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1053488528 NPI number — DR. ALEJANDRA GABRIELA COSTANTINO FINIASZ DDS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
COSTANTINO FINIASZ
Provider First Name:
ALEJANDRA
Provider Middle Name:
GABRIELA
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
DDS
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
COSTANTINO
Provider Other First Name:
ALEJANDRA
Provider Other Middle Name:
GABRIELA
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1053488528
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/22/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1081 HOPE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
STAMFORD
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06907-1824
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
203-329-8444
Provider Business Mailing Address Fax Number:
203-329-1256

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1081 HOPE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STAMFORD
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06907-1824
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-329-8444
Provider Business Practice Location Address Fax Number:
203-329-1256
Provider Enumeration Date:
11/29/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1223G0001X , with the licence number:  007693 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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